Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $45.90 / $580.50	Facility		$38.26	$45.90	$580.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $28.54 / $58.35	Professional		$18.44	$28.54	$58.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $40.00 / $90.12	Professional		$21.00	$40.00	$90.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $40.82 / $62.45	Facility		$24.66	$40.82	$62.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $72.78 / $89.49	Professional		$37.97	$72.78	$89.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $47.40 / $111.00	Professional		$32.29	$47.40	$111.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $40.82 / $62.15	Facility		$24.66	$40.82	$62.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $45.09 / $90.00	Professional		$31.00	$45.09	$90.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $45.20 / $135.88	Professional		$30.00	$45.20	$135.88